Survey of Staphylococcus isolates among hospital personnel, environment and their antibiogram with special emphasis on methicillin resistance

K. L. Shobha, P. S. Rao, J. Thomas

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17 Citations (Scopus)

Abstract

The objective of this study was to find the prevalence of Staphylococcus spp. carriage among hospital personnel and hospital environment and their antibiogram with special emphasis on methicillin resistance. A total of 205 samples from hospital personnel and environment were collected from casualty, oncology and multidisciplinary cardiac unit ward of Kasturba Medical College Hospital, Manipal. Samples were collected using sterile cotton wool swabs and inoculated into brain heart infusion broth. Subcultures were done onto blood agar and MacConkey's agar. Isolates were identified by standard methods up to species level. Antimicrobial susceptibility test was performed according to standardized disc diffusion Kirby-Bauer method. Each of the isolates was screened for methicillin resistance using oxacillin disc on Mueller Hinton agar plate followed by MIC for methicillin and cefoxitin susceptibility test by disc diffusion method. Sixty five out of 205 strains (31.7%) were Staphylococcus spp. and all of them were coagulase negative. Most of the strains belonged to S.epidermidis 49.23%(32/65) followed by S. saprophyticus 26.15%(17/65). Maximum isolates of S.epidermidis were from anterior nares 28.12%(9/32 strains of S.epidermidis ). Highest number of methicillin resistant coagulase negative strains (3/9, 33.33%) were isolated from stethoscope of multidisciplinary cardiac unit ward followed by carriers in the anterior nares (2/9, 22.22%). Methicillin resistant coagulase negative staphylococci are prevalent in anterior nares of hospital personnel and in the hospital environment thereby providing a definite source for hospital acquired infection. All isolates were sensitive to vancomycin, ciprofloxacin and amikacin.

Original languageEnglish
Pages (from-to)186-188
Number of pages3
JournalIndian Journal of Medical Microbiology
Volume23
Issue number3
Publication statusPublished - 01-07-2005

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Hospital Personnel
Methicillin Resistance
Microbial Sensitivity Tests
Staphylococcus
Coagulase
Agar
Disk Diffusion Antimicrobial Tests
Stethoscopes
Cefoxitin
Oxacillin
Methicillin
Amikacin
Wool
Vancomycin
Ciprofloxacin
Cross Infection
Surveys and Questionnaires
Brain

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)

Cite this

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abstract = "The objective of this study was to find the prevalence of Staphylococcus spp. carriage among hospital personnel and hospital environment and their antibiogram with special emphasis on methicillin resistance. A total of 205 samples from hospital personnel and environment were collected from casualty, oncology and multidisciplinary cardiac unit ward of Kasturba Medical College Hospital, Manipal. Samples were collected using sterile cotton wool swabs and inoculated into brain heart infusion broth. Subcultures were done onto blood agar and MacConkey's agar. Isolates were identified by standard methods up to species level. Antimicrobial susceptibility test was performed according to standardized disc diffusion Kirby-Bauer method. Each of the isolates was screened for methicillin resistance using oxacillin disc on Mueller Hinton agar plate followed by MIC for methicillin and cefoxitin susceptibility test by disc diffusion method. Sixty five out of 205 strains (31.7{\%}) were Staphylococcus spp. and all of them were coagulase negative. Most of the strains belonged to S.epidermidis 49.23{\%}(32/65) followed by S. saprophyticus 26.15{\%}(17/65). Maximum isolates of S.epidermidis were from anterior nares 28.12{\%}(9/32 strains of S.epidermidis ). Highest number of methicillin resistant coagulase negative strains (3/9, 33.33{\%}) were isolated from stethoscope of multidisciplinary cardiac unit ward followed by carriers in the anterior nares (2/9, 22.22{\%}). Methicillin resistant coagulase negative staphylococci are prevalent in anterior nares of hospital personnel and in the hospital environment thereby providing a definite source for hospital acquired infection. All isolates were sensitive to vancomycin, ciprofloxacin and amikacin.",
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